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Contact Information

LARISSA WAITS, PARAPROFESSIONAL
407 N BLISS AVE
TAHLEQUAH, OK74464-2502
 Phone: 918-772-0246
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist, Other

246Z00000X
Indicates primary specialty

NPI Profile & details for LARISSA WAITS · (Female)

NPI # 1568916039
Status Active
Credentials PARAPROFESSIONAL
Entity Individual
Enumeration date 08/12/2016
Last updated 08/12/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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